We explored the comprehension of the informed consent in 77 cancer patients previously enrolled in randomised phase II or phase III clinical trials, between March and July 2011, at the San Raffaele Scientific Institute in Milano. We asked participants to complete an ad hoc questionnaire and analysed their answers. Sixty-two per cent of the patients understood the purpose and nature of the trial they were participating in; 44% understood the study procedures and 40% correctly listed at least one of the (...) major risks or complications related to their participation in the trial. We identified three factors associated with comprehension of the informed consent: age, education and type of tumour/investigator team. We suggest several possible improvements of how to obtain informed consent that will increase patient awareness, as well as the validity and effectiveness of the clinical trials. (shrink)

Se discuten las nociones de filosofía y espiritualidad, tratadas por M. Foucault en La hermenéutica del sujeto, que relacionan el sujeto con la verdad. Si la filosofía del conócete a ti mismo trata la relación cognoscitiva del sujeto con la verdad a la que tiene derecho, entonces la espiritualidad del cuidado de sí trata de la transformación experiencial que requiere la verdad para que el sujeto acceda a ella. Este es el contexto en el que M. Foucault se refiere a (...) M. Heidegger y J. Lacan como los autores que pensaron la relación entre el sujeto y la verdad. Se discute en ambos casos la distinción entre la filosofía y la espiritualidad: en Lacan, porque la experiencia psicoanalítica aparece como vivencia espiritual del cuidado de sí; en Heidegger, porque el Dasein y la verdad como desocultamiento muestran la filosofía como actividad espiritual por excelencia. (shrink)

The planetary boundaries concept has profoundly changed the vocabulary and representation of global environmental issues. The article starts by highlighting the strengths and weaknesses of planetary boundaries from a social science perspective. It is argued that the growth imperative of capitalist economies, as well as other particular characteristics detailed below, are the main drivers of the ecological crisis and exacerbated trends already underway. Further, the planetary boundaries framework can support interpretations that do not solely emphasize technocratic operational approaches and costs, (...) but also assume that these alone can be the solution. (shrink)

The notion of societal boundaries aims to enhance the debate on planetary boundaries. The focus is on capitalist societies as a heuristic for discussing the expansionary dynamics, power relations, and lock-ins of modern societies that impel highly unsustainable societal relations with nature. While formulating societal boundaries implies a controversial process – based on normative judgments, ethical concerns, and socio-political struggles – it has the potential to offer guidelines for a just, social-ecological transformation.

Según el pensador francés Michel Foucault el poder no puede ser localizado en ninguna institución, ni es algo que el individuo cede a nadie, sino que consiste en la correlación de fuerzas dentro de un sistema social determinado. Por tanto, el poder está en toas partes y todo individuo está atravesado por estas relaciones de poder y no puede ser pensado independientemente de él.

The aim of this paper is to provide an account of how hunger motivates us to seek food and eat. It seems that the way that it feels to be hungry must play some role in it fulfilling this function. We propose that hunger is best viewed as a complex state involving both affective and somatic constituents, as well as, crucially, changes in the way in which the hungry agent’s attention is deployed. We argue that in order to capture the (...) distinctive way in which hunger motivates we need to articulate the relations amongst such components. The resulting account explains how hunger as an aversive affective reaction to a state of need motivates us specifically to eat and not to just to rid ourselves of the unpleasant sensations associated to it. We suggest, however, that there is more than this to the overall affective experience of the hungry agent, because hunger ordinarily facilitates the elicitation of other, positive affective reactions such as interest and appetite, and recruits them to further its function. (shrink)

This paper supports the personal data platform cooperative as a means of bringing about John Rawls’s favoured institutional realisation of a just society, the property-owning democracy. It describes personal data platform cooperatives and applies Rawls’s political philosophy to analyse the institutional forms of a just society in relation to the economic power deriving from aggregating personal data. It argues that a society involving a significant number of personal data platform cooperatives will be more suitable to realising Rawls’s principle of fair (...) equality of opportunity. (shrink)

EU regulations explicitly preclude recirculation aquaculture systems (RAS) for aquaculture grow-out from organic certification because they are not close enough to nature (Regulation (EEC) No. 710/2009). Meanwhile, according to another EU regulation, one criterion for organic food production is its contribution to sustainable development (Regulation (EEC) No. 834/2007). Against this background, one might argue that in spite of their distance to nature RAS are innovative solutions to sustainability issues in food production. The paper will deal with the claim that RAS (...) for aquaculture could be one innovative solution to sustainability issues. In this respect, the picture is ambivalent. In the past, the organic movement (OM) has searched for innovative alternatives to industrial forms of agriculture and food production that are non-sustainable. Hence, the majority of the OM does not feel fit to support industrial RAS, even though one might argue that these systems comply with many of the European OM’s founding principles. While there are potential positive effects for a sustainable development, we might still regard these systems as techno-scientific solutions to social problems. This paper discusses innovation narratives related to RAS from the perspective of post-normal innovation critique. It first presents potential contribution to a more sustainable food sector. It then contrasts these arguments within critical assessments of innovation narratives for sustainable development. Finally, the paper concludes by discussing moral challenges of RAS for the OM’s self-conception. (shrink)

In this paper we discuss an often-neglected topic in the literature on the ethics of voting. Our aim is to provide an account of what states are obligated to do, so that voters may fulfil their role as public decision-makers in an epistemically competent manner. We argue that the state ought to provide voters with what we call a substantive opportunity for competence. This entails that the state ought to actively foster the epistemic capabilities that are necessary to achieve competent (...) participation in political decision-making practices. (shrink)

For nearly five years, bioethicists and neurologists debated whether Jahi McMath, an African American teenager, was alive or dead. While Jahi's condition provides a compelling study for analyzing brain death, circumscribing her life status to a question of brain death fails to acknowledge and respond to a chronic, if uncomfortable, bioethics problem in American health care—namely, racial bias and unequal treatment, both real and perceived. Bioethicists should examine the underlying, arguably broader social implications of what Jahi's medical treatment and experience (...) represented. On any given day, disparities in the quality of health care and health outcomes for people of color in comparison to whites are evidenced in American hospitals and clinics. These disparities are not entirely explained by differences in patient education, insurance status, employment, income, expressed preference for treatments, and severity of disease. Instead, research indicates that, even for African Americans able to gain access to health care services and navigate institutional nuances, disparities persist across a broad range of services, including diagnostic screening and general medical care, mental health diagnosis and treatment, pain management, HIV‐related care, and treatments for cancer, heart disease, diabetes, and kidney disease. (shrink)

Allocating attention determines what we remember later. Attentional demands vary in a task-switching paradigm, with greater demands for switch than for repeat trials. This also results in lower subsequent memory performance for switch compared to repeat trials. The main goal of the present study was to investigate the consequences of task switching after a long study-test interval and to examine the contributions of the two memory components, recollection and familiarity. In the study phase, the participants performed a task-switching procedure in (...) which they had to switch between two classifications tasks with pictures. After a short vs. a long study-test interval of a week, the participants performed a surprise memory test for the pictures and gave remember/know judgements. The results showed that recognition memory declined after 1 week and this was mainly due to a decrease in “remember” responses. The results also showed that the task-switching effect on memory was enduring. Whereas the results of the immediate test were mixed, the results of the delayed tests showed that the task-switching effect was based on recollection, expressed in more “remember” responses for repeat than for switch trials. As recollection is more sensitive to attention manipulations than familiarity, the results align with the notion that attentional requirements at study determine what we remember, in particular after a long study-test interval. (shrink)

The article addresses the definition of the State as an institution that holds the monopoly of the legitimate use of force/violence. It is divided into three parts: the first one discusses some chief scholarly contributions on the topic. The second focuses on Weber’s use of “monopoly” within his work, with the aim of showing that the expression “monopoly of the legitimate use of force/violence” can be better understood if conceived and explained within the much wider employment of this term. The (...) third part analyses the expression “monopoly of the legitimate use of violence ” in Weber’s Intermediate Reflections. Religious Rejections of the World and Their Directions. Trying to grasp the meaning of the expression within this text can be helpful in order to better illustrate its sense within the entire Max Weber’s work. (shrink)

Law and racism are intertwined, with legal tools bearing the potential to serve as instruments of oppression or equity. This Special Issue explores this dual nature of health law, with attention to policing in the context of mental health, schools, and substance use disorders; industry and the environment in the context of food advertising, tobacco regulation, worker safety, and environmental racism; health care and research in the context of infant mortality, bias in medical applications of AI, and diverse inclusion in (...) research; and anti-racist teaching and practice in the context of building an interprofessional curriculum and medical-legal partnerships. (shrink)

In the literature, there have been several methods and definitions for working out whether two theories are “equivalent” or not. In this article, we do something subtler. We provide a means to measure distances between formal theories. We introduce two natural notions for such distances. The first one is that of axiomatic distance, but we argue that it might be of limited interest. The more interesting and widely applicable notion is that of conceptual distance which measures the minimum number of (...) concepts that distinguish two theories. For instance, we use conceptual distance to show that relativistic and classical kinematics are distinguished by one concept only. (shrink)

__Neurotechnology and Direct Brain Communication__ focuses on recent neuroscientific investigations of infant brains and of patients with disorders of consciousness, both of which are at the forefront of contemporary neuroscience. The prospective use of neurotechnology to access mental states in these subjects, including neuroimaging, brain simulation and brain computer interfaces, offers new opportunities for clinicians and researchers, but has also received specific attention from philosophical, scientific, ethical and legal points of view. This book offers the first systematic assessment of these (...) issues, investigating the tools neurotechnology offers to care for verbally non-communicative subjects and suggesting a multidisciplinary approach to the ethical and legal implications of ordinary and experimental practices. The book is divided into three parts: the first and second focus on the scientific and clinical implications of neurological tools for DOC patient and infant care. With reference to these developments, the third and final part presents the case for re-evaluating classical ethical and legal concepts, such as authority, informed consent and privacy. Neurotechnology and Direct Brain Communication will appeal to researchers and postgraduate students in the fields of cognitive science, medical ethics, medical technology, and the philosophy of the mind. With implications for patient care, it will also be a useful resource for clinicians, medical centres and health practitioners. (shrink)

An apparently simple answer to this question is 'diversity': there is a diversity of women readers, diversity of interests, diversity of methods and diversity of results of women reading the Bible. In this article I will discuss the complex reality of the diversity of contemporary women's reading of the Bible. I will discuss women readers under two headings, namely the everyday, non-academic reader on the one hand, and the professional, academically trained biblical exegete on the other. I will first suggest (...) a general comparison of these two groups before I treat each one in greater detail. Finally, I will offer a reading of a story about a woman from the Gospel of Mark that draws on feminist hermeneutics to read for a meaning that liberates women from a burdensome, conventional reading. (shrink)

This essay recounts the author’s journey with her father during his prolonged decline due to dementia. The experience pushed her to break out of the confines of conventional scholarly research in her academic field of architectural history to a multi-disciplinary consideration of nineteenth-century environmental, sensory and horticultural therapies for the mentally ill. During her father’s illness, she discovered the tangible therapeutic benefits of momentary engagements with his environment through his five senses and through the emotional filter of poetry. This reorientation (...) to sensory and poetic experience had a beneficial impact on the caretaker as well. (shrink)

Luciano Floridi was not the first to discuss the idea of group privacy, but he was perhaps the first to discuss it in relation to the insights derived from big data analytics. He has argued that it is important to investigate the possibility that groups have rights to privacy that are not reducible to the privacy of individuals forming such groups. In this paper, we introduce a distinction between two concepts of group privacy. The first, the “what happens in Vegas (...) stays in Vegas” privacy (in the following: WHVSV privacy), deals with confidential information shared with the member of a group and inaccessible to (all or a specific group of) outsiders. The second, to which we shall refer as inferential privacy, deals with the inferences that can be made about a group of people defined by a feature, or combination thereof, shared by all individuals in the group. We show why we unreservedly agree with Floridi that groups can have a form of privacy that amounts to more than the mere fact of being sets of individuals each of whom has individual privacy; moreover, like Floridi, we find it plausible that at least some groups (those satisfying our definition of type-a groups) may have a right to a species of group privacy (that is, WHVSV privacy) as groups (and not just as individuals who belong to those groups). However, by turning our attention to the context of big data analytics, we show that the relevant, new notion of group privacy is one of inferential privacy. We argue that an absolute right (either of individuals or groups) to inferential privacy is implausible. We also show that many groups generated algorithmically (those satisfying our definition of type-b groups) cannot be right holders as groups (unless they become type-a groups). (shrink)

We answer three questions: 1. Can we give a wholly mathematical explanation of a physical phenomenon? 2. Can we give a wholly mathematical explanation for a whole physical theory? 3. What is gained or lost in giving a wholly, or partially, mathematical explanation of a phenomenon or a scientific theory? To answer these questions we look at a project developed by Hajnal Andréka, Judit Madarász, István Németi and Gergely Székely. They, together with collaborators, present special relativity theory in a three-sorted (...) first-order formal language. (shrink)

L’auteure de cet article, sage-femme et conseillère conjugale et familiale, s’attache à l’étude de l’objet placenta et l’analyse sous plusieurs formes : le point de vue ethnologique, le point de vue historique, le point de vue psychanalytique. Elle répertorie les différentes représentations qu’il revêt et indique des rites auxquels il est soumis. Elle étudie et analyse les raisons qui ont poussé les soignants actuels à le soustraire rapidement à la vue et encourage le lecteur à le penser différemment. Elle amène, (...) par la réflexion à laquelle elle le soumet, à lui redonner sa dimension symbolique de double de l’enfant nouvellement né, et à lui accorder la place importante qu’il mérite. (shrink)

Digital apps using Bluetooth to log proximity events are increasingly supported by technologists and governments. By and large, the public debate on this matter focuses on privacy, with experts from both law and technology offering very concrete proposals and participating to a lively debate. Far less attention is paid to effective incentives and their fairness. This paper aims to fill this gap by offering a practical, workable solution for a promising incentive, justified by the ethical principles of non-maleficence, beneficence, autonomy (...) and justice. This incentive is a free phone optimised for running such app. (shrink)

What aspects of spatial relations influence speakers’ choice of locative? This article presents a study of static spatial descriptions from 24 languages. The study reveals two kinds of spatial terms evident cross‐linguistically: specific spatial terms and general spatial terms (GSTs). Whereas specific spatial terms—including English prepositions—occur in a limited range of situations, with concomitant specificity in their meaning, GSTs occur in all spatial descriptions (in languages that employ them). Because of the extreme differences in range of application, the two are (...) considered separately. A multidimensional scaling analysis is used with specific spatial terms to extract statistically valid similarities across the languages sampled. For GSTs, which have not been previously analyzed in the literature, a semantic analysis is proposed and experimentally validated. The results suggest the importance of geometry, function, and qualitative physics to the meanings of both kinds of spatial terms, although the details differ. (shrink)

The subject of this paper is Rudolf Hermann Lotze’s concept of Geltung as him outlines it in the second Logik. This paper, through the notions of gnoseological immanentism and anti-psychologism, aims to shed light on the notion of validity. The Geltung’s concept is very interesting not only for the role that it plays in Lotze’s philosophy, but also for the importance that Lotze’s validityhas in the philosophical debate until the 1930s.

Ethical medical decision-making for a child is generally navigated with various standards and models that have been developed to address its complexities. A case is presented of the parents’ refusal of a surgical procedure for their child considered by medical providers as essential and potentially lifesaving, along with the ethical debate of whether the parents’ decision was in the child’s best interest and whether their refusal reached a threshold to report and seek state intervention. Utilizing the best interest standard and (...) additional ethical decision-making tools, the ethicists helped the medical team accept the parents’ decision as reasonable, thus avoiding involvement with Child Protective Services. It is my goal to clarify the parents’ decision as reasonable and as honoring their child’s best interests and inherent dignity through the lens of Catholic anthropological and moral principles. These strengthen the ethical and moral arguments for the parents’ decision and the opposition to state intervention. (shrink)

O objetivo do estudo consiste em abordar a importância e contribuições do ensino de Filosofia a educação no/do campo para o processo de formação de cidadãos. A escolha da escola para o desenvolvimento das observações se deve ao contexto de ameaça de fechamento de escolas em áreas rurais por parte do governo do Estado do Rio Grande do Sul, fazendo-se preciso evidenciar a qualidade e a importância da educação do campo como forma de resistência na defesa da educação pública e (...) de qualidade para todos e todas, especialmente o povo campesino. Para tanto são apresentadas as diversas concepções filosóficas presentes na História da Filosofia, a presença do ensino de filosofia na educação brasileira, a importância do seu ensino no Ensino Médio e sua contribuição à educação no/do campo. A hipótese levantada é de que o Ensino de Filosofia contribua para a formação de indivíduos emancipados indo ao encontro da proposta educacional da educação no/do campo, a qual tem por base as contribuições do educador brasileiro Paulo Freire e forte influência do processo pedagógico do Movimento dos Trabalhadores Sem-Terra (MST). Os resultados encontrados permitem afirmar que o ensino de Filosofia, capacita os estudantes para o diálogo, o debate de ideias. (shrink)

As scholars have rushed to either prove or refute cultural group selection, the debate lacks sufficient consideration of CGS's potential moderators. We argue that pressures for CGS are particularly strong when groups face ecological and human-made threat. Field, experimental, computational, and genetic evidence are presented to substantiate this claim.

The study of legal transplants provides a vital critical supplement to mainstream theories about legal change. Legal transplants are not exceptional or isolated occurrences, despite the economic, social, political and cultural barriers that separate the world’s legal systems. This Article goes beyond traditional approaches to the study of transplants by substituting the figurative language of transplants with explicit theory about how legal change is produced. It first provides a brief account of what the literature on legal transplants has achieved so (...) far in terms of "macro" explanations of legal change currently available. It then argues that legal transplants as social acts performed by individuals call for a study of the "micro" level of engagement with legal change by individuals. The key notion that is advanced to explore this dimension is the notion of mediated action, which denotes action that is performed by individuals making use of features of the environment as tools to interact in a specific setting. The notion of mediated action was first introduced in cultural-historical psychological investigations of the social formation of the mind. As social acts, legal transplants represent instances of mediated action. The last part of this Article highlights how legal transplants raise questions of justice and discusses briefly how the new approach to the study of transplants advocated here relates to them. (shrink)